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Tabitha Untalan
NPI 1003782889 · on the registry since 2025
Practice
- Address
- 1525 N Humboldt St Unit 101
Portland, OR 97217 - Phone
- (360) 936-7857
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-16
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon